ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: C
Rationale: Oliguria, or low urine output, is an expected finding in hypovolemic shock. As the blood volume decreases, the kidneys receive less blood flow, leading to reduced urine production. This is a protective mechanism to conserve body fluids, but it also indicates the severity of fluid loss and the need for urgent intervention.
Question 2 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: D
Rationale: A CD4-T-cell count of 180 cells/mm³ indicates significant immune suppression, guiding treatment and prophylaxis needs.
Question 3 of 5
A nurse is reviewing the laboratory report of a client's most recent Pap smear that indicates moderately abnormal cervical cells were present. Based on the description of the cells, which of the following changes of precancerous cell growth to the client's cervix should the nurse identify?
Correct Answer: D
Rationale: Dysplasia refers to the presence of abnormal cells within a tissue or organ, characterized by changes in cell size, shape, uniformity, arrangement, and structure. In the context of a Pap smear, dysplasia is indicative of precancerous changes.
Question 4 of 5
A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?
Correct Answer: C
Rationale: Graves' disease is the most common cause of hyperthyroidism, an autoimmune disorder causing the thyroid gland to produce excessive thyroid hormone, making a client with this condition most at risk.
Question 5 of 5
A nurse is admitting a client to the surgical unit from the Post-Anesthesia Care Unit (PACU) following a cholecystectomy. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Oxygen saturation is the priority to ensure adequate respiratory function post-anesthesia.